Evidence map›Paper›PMID 36483381›Full record

ArticleAntimicrobial stewardship & healthcare epidemiology : ASHE2022

Assessment of the effectiveness of ultraviolet-C disinfection on transmission of hospital-acquired pathogens from prior room occupants.

Jacob C Hodges, Andrew L Bilderback, Christine M Bridge, Suzanne Wagester, Bonnie V Colaianne, Ahmed Babiker, Tami Minnier, Rachel L Zapf, Paula L Kip, Graham M Snyder

Abstract read
In one paragraph

Article in Antimicrobial stewardship & healthcare epidemiology : ASHE, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jacob C HodgesWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-9898-4148
Andrew L BilderbackWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-3326-813X
Christine M BridgeWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Suzanne WagesterWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Bonnie V ColaianneWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Ahmed BabikerDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.ORCID https://orcid.org/0000-0003-0578-4871
Tami MinnierWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Rachel L ZapfWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0003-2001-5763
Paula L KipWolff Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-8337-4777
Graham M SnyderDepartment of Infection Prevention and Control, UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0001-5562-8880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effectiveness of ultraviolet-C (UV-C) disinfection as an adjunct to standard chlorine-based disinfectant terminal room cleaning in reducing transmission of hospital-acquired multidrug-resistant organisms (MDROs) from a prior room occupant. Design: A retrospective cohort study was conducted to compare rates of MDRO transmission by UV-C status from January 1, 2016, through December 31, 2018. Setting: Acute-care, single-patient hospital rooms at 6 hospitals within an academic healthcare system in Pennsylvania. Methods: Transmission of hospital-acquired MDRO infection was assessed in patients subsequently assigned to a single-patient room of a source occupant with carriage of 1 or more MDROs on or during admission. Acquisition of 5 pathogens was compared between exposed patients in rooms with standard-of-care chlorine-based disinfectant terminal cleaning with or without adjunct UV-C disinfection. Logistic regression analysis was used to estimate the adjusted risk of pathogen transfer with adjunctive use of UV-C disinfection. Results: In total, 33,771 exposed patient admissions were evaluated; the source occupants carried 46,688 unique pathogens. Prior to the 33,771 patient admissions, 5,802 rooms (17.2%) were treated with adjunct UV-C disinfection. After adjustment for covariates, exposed patients in rooms treated with adjunct UV-C were at comparable risk of transfer of any pathogen (odds ratio, 1.06; 95% CI, 0.84-1.32; Conclusion: Our analysis does not support the use of UV-C in addition to post-discharge cleaning with chlorine-based disinfectant to lower the risk of prior room occupant pathogen transfer.

Identifiers

PMID36483381
PMCPMC9726560

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.